1. Highgate Private Hospital Precision Hip & Knee
KNEE UPDATE
Mr Reza Jenabzadeh
BSc(HONS), MB BS, FRCS (Tr and Orth)
Highgate Private Hospital Precision Hip & Knee
NWA NHS Foundation Trust E:

2. Current Treatment Gap

3. Bridging The Treatment Gap

4. Hyaluronic Acid Viscosupplement
Indication – OA
In most healthy joints synovial fluid will act as a lubricant and shock absorber
OA = Synovial fluid loss in ability to lubricate and shock absorb
Fermathron:
Made of Hyaluronic Acid (HA)
HA is one of the main components responsible for lubrication and shock absorption between joints
Fermathron supplements synovial fluid to aid in continuation of daily activities
Fermathron Benefits:
Reduces pain and stiffness in joints
Relieves symptoms for up to 6 months
Acts primarily mechanically
Single injection with minimal adverse reactions
Treatment does not require hospital admission

5. nSTRIDE: Autologous Protein Solution
Indication - Osteoarthritis (OA
OA is associated with an imbalance of inflammatory ‘bad proteins’ and anti-inflammatory ‘good proteins’
nSTRIDE APS is a groundbreaking autologous (from your own body) therapy designed to:
Treat pain
Slow the progression of cartilage degradation and destruction in the knee
Achieved by injecting high concentrations of anti-inflammatory proteins
nSTRIDE APS Benefits:
Decreased pain
Decreased cartilage degeneration
Improves mobility
Stimulates cell proliferation
Delays the need for invasive surgery for up to 2 years
Totally natural
Single injection without the need for hospital admission

6. Recover L-PRP (Leukocyte Platelet Rich Plasma): Tendinopathy
Indication – Tendinopathy
Tendinopathy is a disease of a tendon caused by wear and tear or overuse
Micro tears to the tendon will not heal if load is continuously applied
Recover L-PRP:
An injection of plasma containing a high concentration of platelets, leukocytes and growth factors
Recover L-PRP stimulates and accelerates the healing response
Recover L-PRP Benefits:
Speeds up the healing process
Helps reduce pain
Helps improve function
Completely natural and does not require hospital admission

8. Subchondroplasty (SCP): Bone Marrow Lesions
Indication – Bone Marrow Lesions (BML’s)
BML’s are bone injuries which do not heal naturally
Stress reaction due to: overuse, excessive joint loading or poor joint mechanics
Only present on MRI as hazy white area
More commonly found in knee, hip, foot and ankle
Associated with chronic pain
SCP:
Minimally-invasive surgery that targets and treats subchondral defects associated with chronic BML
AccuFill is delivered directly into the BML using a cannula under fluoroscopy
AccuFill:
Calcium Phosphate
Mimics the strength of normal cancellous bone
Reabsorbed and replaced with normal bone during healing process
SCP Benefits:
Delays or avoids the need for severe invasive surgery such as TKR
Remove or reduce pain associated with BML

10. Surgical Options?

11. Surgical Options?

12. Surgical Options?

13. Surgical Options?

14. Unicompartmental / Total Knee Replacement COMPUTER NAVIGATION

15. Why use Computer Navigation?

16. What is Computer Navigation?

17. Navigation 1 – Infrared camera 2 – Screen 3 – Cart 4 – Tracker
5 – Mobile marker

18. How do surgeons get the correct implant positioning?
Experience
Instinct
Intuition

19. Now

20. Navigated Total Hip Replacements

21. ANY QUESTIONS?